ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client at 27 weeks gestation, 1-hour GTT result 160 mg/dL.
Question 1 of 5
What education should the nurse provide?
Correct Answer: D
Rationale: An elevated 1-hour GTT (
D) requires a 3-hour GTT for confirmation. Insulin (
A) is premature, increasing carbohydrates (
B) is inappropriate, and no changes (
C) ignore the result.
Extract:
A client at 37 weeks gestation with headache, facial edema, right upper quadrant pain.
Question 2 of 5
Which diagnostic tests would the nurse anticipate?
Correct Answer: A
Rationale: CBC, CMP, Urinalysis, and Clotting studies (
A) assess preeclampsia/HELLP. HgA1C (
B) is for diabetes, ultrasound (
C) is supportive, and amylase/lipase (
D) are less relevant.
Extract:
A client at 33 weeks gestation with PPROM 4 hours ago, initial exam 2 cm dilated.
Question 3 of 5
Why should the nurse avoid performing another vaginal exam?
Correct Answer: D
Rationale: Frequent vaginal exams after PPROM increase infection risk (
D) by introducing bacteria. They do not directly increase labor progress (
A), pain (
B), or bleeding (
C).
Extract:
A client at 37 weeks gestation with complete placenta previa, reports inconsistent contractions.
Question 4 of 5
Why did the provider avoid a vaginal exam?
Correct Answer: B
Rationale: In placenta previa, vaginal exams risk severe bleeding (
B) by disturbing the placenta. Rupturing membranes (
A), infection (
C), or preterm labor (
D) are less primary concerns.
Extract:
A client at 32 weeks gestation, hemoglobin 8 g/dL, platelet count 100,000/mm³.
Question 5 of 5
Which complication is the nurse most likely dealing with?
Correct Answer: D
Rationale: Low hemoglobin and platelets (
D) suggest preeclampsia with HELLP syndrome. Previa (
A) and abruption (
B) cause bleeding, hypertension (
C) lacks these findings.